Walden University - NURS 6521N0 WK6 Quiz 6 FINAL and Review Test Submission: Week 6 -Quiz (With Response Feedback)

Document Content and Description Below

Walden University - NURS 6521N0 WK6 Quiz 6 FINAL Test Information Description Instructions Please answer each question below and click Submit when you have completed the Quiz. Timed Test This te... st has a time limit of 1 hour and 15 minutes.You will be notified when time expires, and you may continue or submit. Warnings appear when half the time, 5 minutes, 1 minute, and 30 seconds remain. Multiple Attempts Not allowed. This test can only be taken once. Force Completion Once started, this test must be completed in one sitting. Do not leave the test before clicking Save and Submit. Remaining Time: 37 minutes, 35 seconds. Question Completion Status: QUESTION 1 1. A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug? A. Vitamin B B. Vitamin C C. Vitamin A D. Vitamin D 1 points QUESTION 2 1. A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's A. blood pressure. B. use of alcohol. C. use of salt in his diet. D. potassium level. 1 points QUESTION 3 1. A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? A. Typical daily fluid intake B. Ethnicity C. Dietary habits D. Work environment 1 points QUESTION 4 1. A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of A. weekly administration of an enteric coated tablet. B. daily, outpatient intravenous therapy. C. weekly subcutaneous injections. D. daily, oral administration . 1 points QUESTION 5 1. A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is A. dry mouth. B. fatigue. C. hypotension. D. constipation. 1 points QUESTION 6 1. A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? A. Gabapentin is contraindicated with the use of exogenous insulin. B. The patient's medication-related risk for renal failure must be assessed prior to the use of gabapentin. C. It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. D. The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved. 1 points QUESTION 7 1. The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? A. To potentiate the metabolism of dietary purines B. To promote the remodeling of damaged synovium C. To balance urate concentration and prevent gout attacks D. To achieve pain relief in joints affected by gout 1 points QUESTION 8 1. A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? A. Altered Nutrition, Less than Body Requirements, related to appetite suppression B. Risk for Injury related to CNS depressant effects C. Diarrhea related to anticholinergic effects D. Impaired Swallowing related to increased muscle tone 1 points QUESTION 9 1. During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following? A. The patient's diet B. The condition of the patient's skin C. The patient's environment D. The condition of the patient's nasal passages 1 points QUESTION 10 1. A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? A. Drink plenty of water every day B. Avoid high-fat foods C. Avoid red meat D. Take the tablets before bedtime 1 points QUESTION 11 1. A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately? A. Vertigo B. Loss of appetite C. Epigastric distress D. Intolerance to cold 1 points QUESTION 12 1. A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? A. Hypothermia B. Hypotension C. Renal dysfunction D. Bleeding 1 points QUESTION 13 1. A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? A. Doses of basal insulin twice daily with regular insulin before each meal B. Divided doses of intermediate-acting insulin every 2 hours, around the clock C. Small doses of long-acting insulin administered four to five times daily D. Large doses of rapid-acting insulin combined with long-acting insulin each morning and evening 1 points QUESTION 14 1. A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods? A. Eggs B. Milk C. Shrimp D. Green beans 1 points QUESTION 15 1. A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in A. breathing difficulties. B. fatigue. C. heart palpitations. D. chest pain. 1 points QUESTION 16 1. A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? A. Body temperature B. Liver function tests C. Blood sugar levels D. Blood pressure 1 points QUESTION 17 1. A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following? A. Hepatotoxicity B. Agranulocytosis C. Bronchoconstriction D. Aplastic anemia 1 points QUESTION 18 1. Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)? A. Do not walk or drive after taking the drug B. Learn to self-administer the drug C. Take a laxative when needed D. Discontinue the use of alcohol 1 points QUESTION 19 1. A 70-year-old woman who is on long-term ibuprofen therapy for osteoarthritis has returned to the clinic for her regular 6-month visit. In the last couple of months, she has been having increasing periods of abdominal pain. The nurse suspects that this pain may be related to A. interstitial nephritis. B. anemia. C. peptic ulcer disease or gastritis. D. constipation. 1 points QUESTION 20 1. A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide? A. “You might find that this drug exacerbates some of your muscle weakness while it relieves your spasticity.” B. “We'll need to closely monitor your blood sugar levels for the next week.” C. “This will likely relieve your muscle spasms but you'll probably develop a certain amount of dependence on the drug over time.” D. “There's a small risk that you might experience some hallucinations in the first few days that you begin taking this drug.” 1 points QUESTION 21 1. A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring? A. Respiratory function B. Cardiac function C. Hepatic function D. Renal function 1 points QUESTION 22 1. A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies? A. “Drugs do not cure these disorders; they instead enhance quality of life.” B. “Drug therapy can consist of one or more drugs to eliminate the symptoms of these diseases.” C. “Persons of all cultures are treated similarly and respond in similar ways to treatment.” D. “Drugs used to treat these disorders always pose a risk of severe liver and kidney dysfunction.” 1 points QUESTION 23 1. A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? A. Eat a high-protein diet B. Wear appropriate clothing and sunscreen whenever he is in direct sunlight C. Decrease the dosage if any adverse effect is experienced D. Have a complete blood cell count done weekly 1 points QUESTION 24 1. A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize A. the need to use only the thigh muscle for the drug injection site. B. the need to avoid crushing the tablet. C. the need to place the tablet under the tongue. D. the need to rotate the injection site of the drug. 1 points QUESTION 25 1. A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention? A. Jittery feeling B. Dry eyes C. Decreased libido D. Increased blood glucose 1 points QUESTION 26 1. A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically? A. Water retention B. Antidiuretic hormone (ADH) levels C. Height D. Dehydration 1 points QUESTION 27 1. A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin? A. Rotate injection sites by using the arm one day, the stomach the next day, and the thigh the day after and then repeating the cycle. B. Select one anatomic area for regular insulin injections and then use serial locations within that area. C. Select one injection site for regular insulin injections and use it exclusively. D. Administer the medication 30 to 60 minutes after a meal. 1 points QUESTION 28 1. A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? A. Hirsutism B. Allergy to seafood C. History of taking anticoagulant drugs D. The patient's age 1 points QUESTION 29 1. A nurse will instruct a patient taking allopurinol to take each dose A. after a meal. B. at night. C. first thing in the morning. D. before a meal. 1 points QUESTION 30 1. A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? A. Wash hands before and after taking the medicine B. Note the time the medicine is taken each day C. Keep track of any gastrointestinal tract infections D. Monitor glucose levels closely 1 points Review Test Submission: Week 6 -Quiz User DELIA CLAVEL Abaya Course NURS-6521N-32,Advanced Pharmacology.2019 Winter Qtr 11/28-02/19-PT27 Test Week 6 -Quiz Started 1/7/19 5:00 PM Submitted 1/7/19 5:46 PM Status Completed Attempt Score 29 out of 30 points Time Elapsed 46 minutes out of 1 hour and 15 minutes Instructions Please answer each question below and click Submit when you have completed the Quiz. Results Displayed Feedback • Question 1 1 out of 1 points A 65-year-old woman has an advanced form of rheumatoid arthritis. Her treatment includes a regular dosage of methotrexate. The nurse will advise her to take which of the following vitamin supplements while taking the drug? • Question 2 1 out of 1 points A male patient is to begin glyburide (Diabeta) for type 2 diabetes. Before the drug therapy begins, a priority action by the nurse will be to assess the patient's • Question 3 1 out of 1 points A 33-year-old man has developed acute gouty arthritis. He has been prescribed colchicine. When developing a care plan for this patient, which factor will be most important for the nurse to consider? • Question 4 1 out of 1 points A 66-year-old woman has experienced a significant decline in her quality of life as a result of worsening rheumatoid arthritis. Her physician has prescribed etanercept and the nurse is responsible for facilitating this new aspect of the patient's drug regimen. This will involve the administration of • Question 5 1 out of 1 points A 32-year-old female patient is taking tizanidine (Zanaflex) for spasticity related to her multiple sclerosis. The nurse will inform the patient and her husband that the adverse effect that poses the greatest safety risk to the patient is • Question 6 1 out of 1 points A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics. The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? • Question 7 1 out of 1 points The nurse is conducting a medication reconciliation of a new resident of a long-term care facility. The nurse notes that the resident takes allopurinol on a daily basis for the treatment of gout. What is the primary purpose of this drug? • Question 8 1 out of 1 points A 40-year-old woman with a diagnosis of fibromyalgia has been prescribed cyclobenzaprine (Flexeril) as an adjunct to her existing drug regimen. What nursing diagnosis should the nurse prioritize when updating the nursing care plan for this patient? • Question 9 1 out of 1 points During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following? • Question 10 1 out of 1 points A nurse is working with a 57-year-old man who is a former intravenous drug abuser. He has been prescribed a weekly dosage of methotrexate for his rheumatoid arthritis. Which of the following will the nurse include in her teaching plan for this patient? • Question 11 1 out of 1 points A 34-year-old male patient is prescribed methimazole (MMI). The nurse will advise him to report which of the following immediately? • Question 12 1 out of 1 points A patient in need of myocardial infarction prophylaxis has been prescribed sulfinpyrazone for gout. Which of the following will the nurse monitor the patient most closely for? • Question 13 1 out of 1 points A patient with type 1 diabetes has been admitted to the hospital for orthopedic surgery and the care team anticipates some disruptions to the patient's blood glucose levels in the days following surgery. Which of the following insulin regimens is most likely to achieve adequate glycemic control? • Question 14 1 out of 1 points A nurse is teaching a patient about his newly prescribed drug, colchicine, for gout. The nurse will instruct the patient to avoid which of the following foods? • Question 15 1 out of 1 points A nurse is developing a care plan for a patient who has multiple sclerosis. An expected outcome for the patient who is receiving glatiramer would be a decrease in • Question 16 1 out of 1 points A nurse will monitor which of the following when assigned to a patient taking allopurinol for chronic gout who visits the clinic every 2 months? • Question 17 1 out of 1 points A 13-year-old patient has juvenile arthritis. He has recently had oral surgery and was told by the surgeon to take aspirin for the pain. The nurse will monitor for which of the following? • Question 18 1 out of 1 points Which of the following would be the most important safety-related instruction for a nurse to give to a patient taking baclofen (Lioresal)? • Question 19 1 out of 1 points A 70-year-old woman who is on long-term ibuprofen therapy for osteoarthritis has returned to the clinic for her regular 6-month visit. In the last couple of months, she has been having increasing periods of abdominal pain. The nurse suspects that this pain may be related to • Question 20 1 out of 1 points A 43-year-old woman was diagnosed with multiple sclerosis 2 years ago and has experienced a recent exacerbation of her symptoms, including muscle spasticity. Consequently, she has been prescribed Dantrolene (Dantrium). In light of this new addition to her drug regimen, what teaching point should the woman's nurse provide? • Question 21 1 out of 1 points A patient is taking gabapentin (Neurontin) for spasticity associated with multiple sclerosis. Which of the following should be the priority for monitoring? • Question 22 1 out of 1 points A nurse has been invited to speak to a support group for persons with movement disorders and their families. Which of the following statements by the nurse addresses the chronic nature of these diseases and the relevant drug therapies? • Question 23 1 out of 1 points A nurse is instructing a patient who was recently diagnosed with multiple sclerosis about dantrolene (Dantrium). The patient is a 38-year-old-male and the foreman for a construction company. In order to minimize one important adverse effect of the drug, the nurse will give the patient which of the following instructions? • Question 24 1 out of 1 points A male patient with a diagnosis of relapsing-remitting multiple sclerosis is in the clinic to discuss with the nurse the possibility of self-administration of glatiramer. During the patient education session for self-administration, the nurse will emphasize • Question 25 0 out of 1 points A diabetic patient being treated for obesity tells the nurse that he is having adverse effects from his drug therapy. The patient has been taking dextroamphetamine for 2 weeks as adjunct therapy. Which of the following adverse effects would need the nurse's immediate attention? • Question 26 1 out of 1 points A clinic nurse is following a 9-year-old boy who is taking somatropin. Which of the following will the nurse monitor periodically? • Question 27 1 out of 1 points A nurse is instructing a patient in the administration of regular insulin by the subcutaneous route. Which of the following strategies would the nurse suggest if the goal is to promote absorption of the regular insulin? • Question 28 1 out of 1 points A nurse is caring for a patient who has been diagnosed with hypothyroidism. Levothyroxine (Synthroid) has been prescribed. Before the drug therapy is started, the nurse will assess for which of the following? • Question 29 1 out of 1 points A nurse will instruct a patient taking allopurinol to take each dose • Question 30 1 out of 1 points A patient with diabetes has had a cough for 1 week and has been prescribed a cough syrup (an expectorant). What special instructions should the nurse include in the patient teaching for this situation? [Show More]

Last updated: 1 year ago

Preview 1 out of 16 pages